scholarly journals Prescription Practice for Diabetes Management among a Female Population in Primary Health Care

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Fouzia A. ALHreashy ◽  
Abdulelah F. Mobierek
Keyword(s):  
Primary Care ◽  
Diabetes Care ◽  
Diabetes Management ◽  
Antihypertensive Drugs ◽  
Cross Sectional Study ◽  
Diabetic Patients ◽  
Sample Population ◽  
Cross Sectional ◽  
Female Population ◽  
Prescription Practice

Introduction. Prescription for diabetes care is an important practice in primary care. Methods. This is a descriptive study carried out on at primary care clinics over a five-month period at Al Imam Medical Complex, Riyadh, Saudi Arabia. It was cross-sectional study of 160 female diabetic patients, who visited the services between January and May, 2012. Data were collected from the medical records on the clinical characteristics and drugs prescribed for their diabetic management. Results. The majority of the sample population (82%) was older than 40 years old. Half of them had concomitant hypertension, hyperlipidemia, and obesity. There were 500 prescriptions for diabetes management. More than 57% of participants were on two or more drugs for hyperglycemia. Metformin was the most common drug prescribed. Metformin and sulphonylurea were the most common combined medications. Most of cases ( 70%) were on a combination of antihypertensive drugs. ACE or ARBs and diuretic was the most common combined prescriptions. Statins and aspirin were used by 41% and 23.8% of the research population, respectively. Conclusion. Polypharmacy is a feature in diabetes care. Most of the prescription practice for diabetic care follows the recommended guidelines for hyperglycemia and hypertension. Management of dyslipidemia among diabetic patients, however, is an area that needs to be developed.

scholarly journals Patients’ and healthcare providers’ perspectives of diabetes management in Cambodia: a qualitative study

BMJ Open ◽  
2019 ◽  
Vol 9 (11) ◽  
pp. e032578 ◽  
Author(s):  
Ei Ei Khaing Nang ◽  
Chhavarath Dary ◽  
Li Yang Hsu ◽  
Sokrath Sor ◽  
Vonthanak Saphonn ◽  
...  
Keyword(s):  
Diabetes Care ◽  
Rural Areas ◽  
Diabetes Management ◽  
Service Providers ◽  
Communicable Disease ◽  
Quality Care ◽  
Healthcare Providers ◽  
Cross Sectional Study ◽  
Healthcare Staff ◽  
Cross Sectional

ObjectiveThis study aimed to explore the challenges encountered by patients and healthcare providers and opportunities for improvement in managing diabetes mellitus (DM) in a low- and middle-income country (LMIC) facing a rise in DM prevalence.DesignQualitative cross-sectional study.SettingUrban, semiurban, and rural areas in Cambodia.ParticipantsThirty health service providers and fifty-nine adult DM patients.ResultsMost of the 59 DM patients reported having developed DM complications when they first sought treatment. The biggest challenges for the patients were geographical barriers, diet control, and shortage of medication supply. The healthcare staff expressed concerns about their limited knowledge and lack of confidence to treat diabetes, limited availability of diabetes care services, inadequate laboratory services, shortage of staff, poor patients’ compliance, and insufficient medication supplies. Both healthcare staff and patients urged an expansion of diabetes services in Cambodia and prioritisation of diabetes care in a manner similar to communicable disease control programmes of the recent past.ConclusionsCurrently, the Cambodian healthcare system has very limited capacity to provide quality care for chronic diseases. As a consequence, many patients are either left untreated or have interrupted care due to several barriers including financial, geographical, and lack of knowledge and skills. A more comprehensive and multipronged approach is urgently needed to improve DM care, which would require a collaborative effort from government, external funding agencies, private sector, and communities.

scholarly journals Relation between primary care physician supply and diabetes care and outcomes: a cross-sectional study

CMAJ Open ◽  
2016 ◽  
Vol 4 (1) ◽  
pp. E80-E87 ◽  
Author(s):  
T. Kiran ◽  
R. H. Glazier ◽  
M. A. Campitelli ◽  
A. Calzavara ◽  
T. A. Stukel
Keyword(s):  
Primary Care ◽  
Primary Care Physician ◽  
Diabetes Care ◽  
Cross Sectional Study ◽  
Care Physician ◽  
Physician Supply ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals Knowledge and Awareness Regarding T1DM in Primary Health care Providers

2019 ◽  
Vol 1 (2) ◽  
pp. 21-25
Author(s):  
Saira Yousaf ◽  
Rozina Arshad ◽  
Muhammad Waqeel ◽  
Maria Javaid ◽  
Hafiza Rabia Naeem ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care Providers ◽  
Mechanism Of Action ◽  
Correct Answer ◽  
General Medicine ◽  
Primary Care Providers ◽  
Cross Sectional Study ◽  
Diabetic Patients ◽  
Care Providers ◽  
Cross Sectional

Background: Diabetes is one of the commonest non-communicable diseases in the world. Type 1 Diabetes Mellitus (T1DM) is relatively less common but it is associated with greater morbidity and mortality. It is important to have the knowledge and awareness of T1DM especially in primary care providers (PCPs) to save the lives of children and young adults with T1DM. Methods: A cross sectional study was performed by distributing questionnaires amongst the doctors belonging to the field of General Medicine working at the primary care level with practices comprising approximately 10% of diabetic patients. Responses were recorded on a questionnaire and the data was analyzed by SPSS versions 20. Results: Only 62% doctors were aware about the correct pathogenesis of T1DM. Regarding the most important and fatal complications of T1DM i.e. diabetic ketoacidosis (DKA), 88.9% came up with correct answer. However when asked about the mortality related to T1DM only 22% PCPs gave the right answer. Only 40% of the PCPs could give correct answer regarding the mechanism of action of insulin. 55.6% PCPs were aware of the variation in blood glucose levels and had knowledge how to adjust them. Only 55.6% doctors were aware of cause of hypoglycemia. Conclusion: Most of the PCPs had suboptimal knowledge regarding T1DM, its pathogenesis, complications and mechanism of action of insulin. This study had identified the need for further improvement in PCPs practices for treating and educating diabetes and recommended that awareness and educational programs are necessary to update the PCPs on screening, effective treatment of T1DM, and prevention of its complications.

scholarly journals Socio-demographic, Economic and Health Profile of Diabetic Patients Attending Some Primary Care Units in the City of Bukavu, Democratic Republic of Congo

2020 ◽  
pp. 42-53
Author(s):  
Ombeni Mahano Aladin ◽  
Ziruka Ntaboba Rachel ◽  
Asima Katumbi Florentin ◽  
Akonkwa Byamungu Brigitte ◽  
Salama Matumaini Béatrice ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Primary Care ◽  
Democratic Republic Of Congo ◽  
Disease Risk ◽  
Cross Sectional Study ◽  
Oral Glucose ◽  
Diabetic Patients ◽  
Health Profile ◽  
Cross Sectional ◽  
Food Purchases

Introduction: Diabetes is a serious health problem; its prevalence is increasing in developing countries. This study aims to describe the socio-demographic, economic and health profile of diabetics attending the primary care units for the management of diabetes mellitus (DM). Methods: We carried out a cross-sectional study in 2019 on 257 diabetics in seven primary care units (Maendeleo, Funu, Uzima, CBCA-Nyamugo, 8th Cepac-Buholo, Lumu and Charles-Mbogha).To collect the data, we used the survey questionnaire, medical tools and documents; anthropometric tools and statement of the prices (for drugs, laboratory exams and public transport). Results: Most of respondents were female (79.4%), aged ≥ 45 years old (90.27%), with a level of study below secondary education (63.0), without paid employment (71.1 %) with a monthly income < $ 37.5 US (59.92%). Most of them had type-2 diabetes mellitus (93.3%). With family history (48.25%) and comorbidities (hypertension and stroke). All participants were on medication (77.0% on oral glucose-lowering drugs). Once a week glycemic control was assessed in six primary care units, we noted hyperglycemia in the majority of female 68.5% (OR = 2.25; P = 0.02); aged 55 or older 54.9% (OR = 2.62; P = 0.02), not respecting the diet 45.5% (OR = 2.09; P = 0.04) and ate the family meal on a common plate 40.5% (OR = 2.32; P = 0.007). Their monthly expenses covered the assessment of fasting blood sugar, medication, and food purchases. Body Mass Index has represented the increased (31.5% with overweight) and high (23.8% with obesity) disease risk. The waist circumference represented the abdominal obesity mainly in women. Conclusion: Diabetes is an economic and health burden for the patient, family and community. Primary care units lacked human, material and financial resources to care for diabetics.

scholarly journals Prevalence of Diabetic Retinopathy and its Associated Factors among Diabetic Patients in Primary Care Clinics, Kuantan, Pahang

2020 ◽  
Vol 17 (2) ◽  
Author(s):  
Mohd Aznan MA ◽  
Khairidzan MK ◽  
Razman MR ◽  
Fa’iza A
Keyword(s):  
Primary Care ◽  
Diabetic Retinopathy ◽  
Cross Sectional Study ◽  
Diabetic Patients ◽  
Cross Sectional ◽  
Uncontrolled Blood Pressure ◽  
Primary Care Clinics ◽  
High Hba1c ◽  
Retinal Examination ◽  
Disease Severity Scale

Introduction: Diabetic retinopathy (DR) is one of the commonest complications of diabetes mellitus. This study was to determine the prevalence of DR and its association with chronic kidney disease (CKD), high HbA1c and dyslipidemia among diabetic patients in government primary care clinics. Materials and Methods: A cross sectional study was carried out. The respondents were selected from diabetic registry at two government primary care clinics in Kuantan, Pahang via stratified random sampling method during the study period from May 2010 to April 2011. The respondents were interviewed and assessed clinically using a structured questionnaire. Retinal examination was performed by accredited staff using non-mydratic retinal imaging and DR was classified according to the International Clinical Diabetic Retinopathy Disease Severity Scale. Results: Out of 400 respondents, 58.8% were diagnosed with diabetes less than 5 years and 51.0% had uncontrolled blood pressure (>130/80 mmHg). The prevalence of DR and maculopathy were 33.5% and of 17.8% respectively. Most of these patients (22.3%) had mild non-proliferative DR. DR patients had higher percentages CKD (17.9% vs. 6.8%; p<0.001) and a higher mean of HbA1C (8.69 vs. 8.11; p=0.015) compared to non-DR patients. The study revealed that DR was independently associated with CKD {OR: 3.46, 95% CI (1.76, 6.80)} and high HbA1c {OR: 1.12, 95% CI (1.02, 1.23)}. Those with dyslipidemia however, has 39% less risk of DR {OR: 0.61, 95% CI (0.39, 0.94)}. Conclusion: This study showed that diabetic patients with CKD and high HbA1c have greater risks to develop DR but has protective risk with dyslipidemia.

Hypoglycemia and Glucagon Utilization in Insulin-Treated Diabetic Patients

2018 ◽  
Vol 128 (08) ◽  
pp. 493-498 ◽  
Author(s):  
Marino Vilovic ◽  
Tina Ticinovic Kurir ◽  
Anela Novak ◽  
Mladen Krnic ◽  
Josip Andelo Borovac ◽  
...  
Keyword(s):  
Diabetes Management ◽  
Statistical Significance ◽  
Severe Hypoglycemia ◽  
Cross Sectional Study ◽  
Hospital Environment ◽  
Diabetic Patients ◽  
Hypoglycemic Episode ◽  
Cross Sectional ◽  
First Choice ◽  
History Of

Abstract Background First choice of therapy for severe hypoglycemia outside hospital environment is glucagon injection, an undertaught and underused remedy. Aim of this study was to investigate knowledge about glucagon therapy, possession rate and usage rate in insulin-treated diabetic patients, with special emphasis on history of hypoglycemia and severe hypoglycemia episodes. Methods In this cross-sectional study, 300 insulin-treated diabetic patients (146 males and 154 females, mean age 61.1±16.4 years) were recruited from comprehensive Diabetes Center in Croatia. Specialized self-administered, 13-item questionnaire regarding glucagon therapy and history of hypoglycemia was obtained from each patient, as well as data collected from medical history documentation. Results Experience of hypoglycemic episode was reported by 233 (77.7%), and severe hypoglycemia by 73 (24.3%) patients. Participants with experience of hypoglycemia have significantly longer diabetes duration (17.2±11.2 vs. 11.9±8.5 years, P<0.001) and lower BMI values (26.38±3.97 vs. 31.11±7.17 kg/m2, P<0.001). Knowledge about glucagon therapy had 55.3% patients, 44.7% obtained it from the pharmacy, while glucagon was used in 35.6% cases of severe hypoglycemia. Glucagon knowledge was better in patients that attended at least one diabetes lecture (P=0.038), while educational level showed no statistical significance (P=0.286). Main significant positive predictor of glucagon knowledge was history of severe hypoglycemia (OR 4.71, 95% CI 1.38 – 16.02, P=0.013). Conclusions Glucagon therapy was underused in treating severe hypoglycemia. It is highly important to emphasize value of quality education as one of the fundamentals of good diabetes management.

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